| Date of birth: | 1918 |
| Hair: | Gray or partially gray |
| Eyes: | Brown |
| State id: | 371038 |
| SO#: | 179900 |
| Booked at: | SALT LAKE |
| Cob: | New Mexico |
| Booking number: | 9404397 |
| Booking date: | Mar 10, 1994 |
| Release date: | Mar 25, 1994 |
| Booking location: | Salt Lake County, UT |
| Amount: | $50 |
| Number: | 941000385 |
| Amount: | $505 |